| NPI | 1689683443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARRY HARBILAS Administrator 407-877-6636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF1456096) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2008-07-24 |